scholarly journals External fixation of olecranon fracture associated with soft tissue damage: a case report

2021 ◽  
Vol 5 (1) ◽  
pp. 6-6
Author(s):  
Hyong Jun Jon ◽  
Tae Song So ◽  
Ho Nam Pak
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
External Fixation ◽  
Tissue Damage ◽  
Olecranon Fracture ◽  
Soft Tissue Damage

scholarly journals Treatment of septic pseudoarthrosis of tibia by Ilizarov method: Case report

2010 ◽  
Vol 138 (9-10) ◽  
pp. 643-646
Author(s):  
Vesna Jovanovic ◽  
Zoran Vukasinovic ◽  
Igor Seslija ◽  
Zorica Zivkovic
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
External Fixation ◽  
Bone Defect ◽  
Tissue Damage ◽  
Open Fracture ◽  
Soft Tissue Damage ◽  
Ilizarov Method ◽  
Left Tibia ◽  
Ilizarov Frame

Introduction. Septic pseudoarthroses of the tibia represent a relatively frequent complication of open fractures with a large soft tissue damage. They may be localized: in the proximal metaphysis, between the proximal and middle thirds, between middle and distal thirds, in the distal metaphysis. Case Outline. A case of a 52-year-old man with open fracture of the left tibia is presented. He fell from the height of 30 meters. The external fixation according to Mitkovic was performed in another institution. The patient was referred to our hospital nine months after the accident, with clear clinical and radiological signs of septic pseudoarthrosis of the tibia. The resection of septic pseudoarthrosis was done two weeks after admission. Three weeks later, another operation was performed, bilocal alternating distractive-compressive osteosynthesis according to Ilizarov. After eleven months Ilizarov frame was removed, with clinical, radiological signs of healing of pseudoarthrosis and complete curing of the infection. Five months after removal of the frame, the patient was fully anatomically and functionally recovered. Conclusion. Being satisfied with the achieved results and encouraged with the data from the literature, we recommend this method as the method of choice for the treatment of pseudoarthrosis of the tibia. The advantage consists of curing the infection using the natural bactericide power of the tissue and curing the bone defect, at the same time, and finally, producing the equalization of the legs.

scholarly journals Multifragmentary Tibial Pilon Fractures: Midterm Results After Osteosynthesis with External Fixation and Multiple Lag Screws

2012 ◽  
Vol 6 (1) ◽  
pp. 419-423 ◽  
Author(s):  
Johannes Kiene ◽  
Jan Herzog ◽  
Christian Jürgens ◽  
Andreas Paech
Keyword(s):  
Wound Healing ◽  
High Risk ◽  
Soft Tissue ◽  
External Fixation ◽  
Tissue Damage ◽  
Soft Tissue Damage ◽  
Tibial Pilon ◽  
Comminuted Fractures ◽  
Severe Soft Tissue ◽  
Pilon Fractures

Osteosynthesis of intraarticular tibial pilon fractures is preferably achieved using locking plates via a minimally invasive technique. If combined with severe soft tissue damage there is a high risk of wound-healing deficits after plate osteosynthesis. Thus our aim was to find an alternative method of treatment for those cases with combined soft tissue injuries. We report on five cases with comminuted fractures of the joint surface combined with critical soft tissue condition that were treated with lag screws and external fixation (AO) applied across the ankle joint. All five patients were followed up, undergoing clinical and radiological examination. Using this approach we achieved fracture healing of comminuted fractures without further complications. Clinical follow-up after an average of 55.6 (36–75) months revealed a mean AOFAS score of 81 (62–100). We therefore propose combined treatment using lag screws with external fixation as a practical treatment option for those fractures for which lag screws combined with a locking plate are not feasible or when there is a high risk of wound-healing deficits due to severe soft tissue damage.

scholarly journals Post-radiation soft tissue damage in endometrial carcinoma: a case report

2021 ◽  
Author(s):  
Strahil Asenov Strashilov ◽  
Vasil Nanev ◽  
Stanislav Slavchev ◽  
Denislava Ivanova ◽  
Stoyan Kostov ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Endometrial Carcinoma ◽  
Tissue Damage ◽  
Soft Tissue Damage ◽  
Post Radiation

Enhancement of Thrombolysis In Vivo Without Skin and Soft Tissue Damage by Transcutaneous Ultrasound

1998 ◽  
Vol 89 (4) ◽  
pp. 171-177 ◽  
Author(s):  
Huai Luo ◽  
Yochai Birnbaum ◽  
Michael C. Fishbein ◽  
Thomas M. Peterson ◽  
Tomoo Nagai ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Tissue Damage ◽  
Soft Tissue Damage

The perils of dressings: a cautionary tale of ischaemia

2021 ◽  
Vol 30 (5) ◽  
pp. 420-422
Author(s):  
Alexandra Khoury ◽  
Kirsten Taylor ◽  
Tania Cubison
Keyword(s):  
Soft Tissue ◽  
Tissue Damage ◽  
Skin Grafting ◽  
Soft Tissue Damage ◽  
Cautionary Tale ◽  
Cause Analysis ◽  
Root Cause ◽  
Queen Victoria ◽  
Post Procedure ◽  
Learning Skill

A cohort of patients presented to Queen Victoria Hospital, UK, with iatrogenic toe ischaemia following application of a different, newly available post-procedure dressing with different properties to those usually used. This resulted in ischaemia with extensive skin and soft tissue damage, requiring debridement surgery and, in some cases, skin grafting. We aim to highlight the risk of morbidity from dressing application to the digits. This is a key learning skill for anyone who may either perform dressings or evaluate dressings on digits in the community and across multiple specialties in hospital. This article follows a thorough root cause analysis and addresses other possible causes of an acutely painful erythematous toe post-Zadek's procedure.

200 A Scoring System for Equine Dental Health

2021 ◽  
Vol 99 (Supplement_3) ◽  
pp. 107-107
Author(s):  
Jesse Fenton ◽  
Mary Beth Gordon ◽  
Erin B Perry ◽  
Zach Dombek ◽  
Micheal Jerina ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Tissue Damage ◽  
Scoring System ◽  
Dental Health ◽  
Soft Tissue Damage ◽  
Kappa Statistics ◽  
Joint Movement ◽  
Dental Abnormalities ◽  
Nutrition Research ◽  
Chewing Ability

Abstract Scoring systems have been implemented in veterinary practice to indicate the severity of pathologies, such as lameness and gastric ulceration. The need for a scoring system of equine dentition in relation to digestive health has been identified. A scoring system would allow veterinarians, owners, and researchers to more accurately assess dental health and the resulting impact it may have on chewing ability. A proposed system, the Equine Dental Scoring System (EDSS), was developed via collaboration of a team of veterinarians and equine nutritionists familiar with equine dental abnormalities. The EDSS was designed to assign higher scores corresponding to increasing severity of dental abnormalities that would impede proper chewing. The proposed scoring system ranges from 0 to 5 as follows: 0) no sharp enamel points, soft tissue damage, or malocclusion, (1) sharp enamel points, but no soft tissue damage or malocclusion, (2) sharp enamel points and soft tissue damage, but no malocclusion, (3) mild malocclusion with all aligned teeth meeting level (ex. ramps, hooks), (4) moderate malocclusion with all teeth meeting but not level (ex. wave, smile, diagonal, frown), (5) major malocclusion with one or more teeth not meeting or inhibited temporomandibular joint movement (ex. step, shear, retained cap), and/or infection, and/or pain while chewing. The EDSS was validated by assessing agreement via the Cohen’s kappa statistic between four trained professionals scoring ten images of horse dentition. Both the weighted (к = 0.62) and unweighted (к = 0.73) kappa statistics indicated substantial agreement between scorers, signifying reliable repeatability of the EDSS. Presenting dental health in the form of a score would indicate severity of dental pathologies and allow for quantitative and statistical evaluation of dental health in nutrition research and veterinary medicine.

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